Public Health, Mental Health and Primary Care Differences in Urban and Rural Counties in a System of Care for Children with Special Healthcare Needs

Varda, Danielle M.; Hardy, Rob; Millar, Amanda; Talmi, Ayelet

doi:10.21767/2254-9137.100041

Our system is currently under heavy load due to increased usage. We're actively working on upgrades to improve performance. Thank you for your patience.

Health Syst Policy Res

2016

DOI: 10.21767/2254-9137.100041

|View full text |Cite

Public Health, Mental Health and Primary Care Differences in Urban and Rural Counties in a System of Care for Children with Special Healthcare Needs

Danielle M. Varda¹,

Rob Hardy²,

Amanda Millar³

et al.

Abstract: Background: Collaboration among partners in a health system of care (SOC) has many benefits. In large and complex systems, the role of public health, mental health, and primary care play critical roles in the provision of care. How these systems vary across urban and rural settings is understudied. Understanding of perceived roles and ongoing collaboration across these sectors in urban and rural communities is needed.

Help me understand this report

Search citation statements

Order By: Relevance

Paper Sections

Select...

Citation Types

Supporting

Mentioning

Contrasting

Year Published

2018

2019

Publication Types

Select...

Article2

Relationship

Self Cite0

Independent2

Authors

Journals

Cited by 2 publications

(1 citation statement)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Unmet need for dental care and mental health services are the most frequently reported. Other studies have demonstrated that these two vital services are difficult to obtain [8,9]. Having an unmet need is consistently associated with lower family income and lack of continuous insurance coverage.…”

mentioning

confidence: 99%

Are the Times A-Changing? Healthcare Coverage and Access for Adolescents and Young Adults Since the Affordable Care Act

Scal

2018

Journal of Adolescent Health

View full text Add to dashboard Cite

Advocates for adolescents and young adults (AYA) worked hard to make sure that the Affordable Care Act (ACA) met the needs of all AYA, especially those who are most vulnerable. Two articles in this month's issue of the Journal of Adolescent Health present analyses on one vulnerable group, AYA with special health care needs (AYA-SHCN) [1,2]. Both articles demonstrate how these young people have benefited from the ACA and where they stand now with respect to access to care. Focusing on AYA-SHCN serves several information needs. As a group, AYA-SHCN are particularly vulnerable to changes in the access to and the organization and delivery of healthcare. This group is often dependent on healthcare in order to reach their optimal health and well-being. They need and use considerable resources. Policy makers and practitioners need up-to-date information in order to develop and manage healthcare resources, including training of providers. Additionally, AYA-SHCN are an important group because they may be an early indicator of how changes in policy and delivery impact AYA more generally [3]. The dependent coverage provision of the ACA made it possible for young adults (YA) to remain enrolled in family insurance coverage until age 26. We know from many studies that this provision contributed substantially to the decline in the proportion of YA who are uninsured [4]. The article by Chan et al. in this issue contributes to our understanding of dependent coverage expansion specifically in the context of YA-SHCN [1]. Their findings illustrate the positive effect of the ACA. The proportion of YA-SHCN who experienced insurance gaps dropped from 48.3% before implementation of the ACA to 45.9% afterward, demonstrating that the dependent care provision is providing a pathway to better access to care for these vulnerable young people. However, beyond the positive effects highlighted by the authors, several aspects of YA-SHCN's access to care remain concerning. Nearly half of all YA-SHCN experienced a gap in insurance coverage over a 4-month interval even after implementation of the ACA. Periods of being uninsured leave YA with a decision between getting the care they need and incurring the substantial cost of care. Other research on the ACA dependent coverage provision demonstrates that the benefits accrue disproportionately to YA with higher incomes [5]. Chan et al. do not specifically determine who among YA-SHCN benefits most [1]. If, however, extrapolating prior

show abstract

mentioning

confidence: 99%

Are the Times A-Changing? Healthcare Coverage and Access for Adolescents and Young Adults Since the Affordable Care Act

Scal

2018

Journal of Adolescent Health

View full text Add to dashboard Cite

show abstract

Public Health Coverage and Access to Mental Health Care for Youth with Complex Behavioral Healthcare Needs

Graaf

Snowden

2019

Adm Policy Ment Health

View full text Add to dashboard Cite

scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.

Contact Info

hi@scite.ai

10624 S. Eastern Ave., Ste. A-614

Henderson, NV 89052, USA

Blog Terms and Conditions API Terms Privacy Policy Contact Cookie Preferences Do Not Sell or Share My Personal Information

Made with 💙 for researchers

Part of the Research Solutions Family.

Public Health, Mental Health and Primary Care Differences in Urban and Rural Counties in a System of Care for Children with Special Healthcare Needs

Cited by 2 publications

References 14 publications

Are the Times A-Changing? Healthcare Coverage and Access for Adolescents and Young Adults Since the Affordable Care Act

Are the Times A-Changing? Healthcare Coverage and Access for Adolescents and Young Adults Since the Affordable Care Act

Public Health Coverage and Access to Mental Health Care for Youth with Complex Behavioral Healthcare Needs

Contact Info

Product

Resources

About